揿针联合体外冲击波治疗颈肩肌筋膜疼痛综合征疗效观察

Observation on Therapeutic Effect of Intradermal Needle Combined with Extra-corporeal Shock Wave on Neck-shoulder Myofascial Pain Syndrome

目的:观察揿针联合体外冲击波治疗颈肩肌筋膜疼痛综合征的临床疗效。方法:将63例符合诊断的患者随机分成两组,观察组采用揿针联合体外冲击波治疗方法;对照组采用单纯体外冲击波治疗。采用简化MiGill疼痛量表为观察指标,以治疗前后疼痛分级指数(PRI)、视觉模拟量表疼痛评分(VAS)、现时疼痛强度(PPI)的变化来评价疗效。结果:观察组的愈显率为71.8%,优于对照组的41.9%(P<0.001)。两组PRI、VAS、PPI积分较治疗前有显著改善(P<0.001),且观察组优于对照组(P<0.001)。结论:揿针联合体外冲击波疗法对颈肩肌筋膜疼痛综合征具有高效性。

Objective:To observe the clinical effect of intradermal needle combined with extracorporeal shock wave in the treatment of neck-shoulder myofascial pain syndrome.Methods:A total of 63 patients were randomly divided into two groups.The observation group was treated by intradermal needle combined with extracorporeal shock wave,while the control group was treated by extracorporeal shock wave alone.Simplified MiGill pain scale was used as the observation index,and the changes of pain rating index(PRI),visual analogue scale pain score(VAS)and current pain intensity(PPI)before and after treatment were used to evaluate the efficacy.Results:The recovery rate of the observation group was 71.8%,which was better than 41.9%of the control group(P<0.001).The PRI,VAS and PPI scores of the two groups were significantly improved compared with those before treatment(P<0.001),and the observation group’s were better those of the control group(P<0.001).Conclusion:The intradermal needle combined with extracorporeal shock wave therapy is effective for neck-shoulder myofascial pain syndrome.